Subcostal skin incision in the left medioclavicular line. Following infiltration of local anesthetic; insert the Verres needle; perform the safety tests and create the pneumoperitoneum.
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Skin incision and Verres needle insertion
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Inserting the 10mm trocar; diagnostic laparoscopy
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Inserting the 5mm trocars; patient positioning
Insert two 5mm trocars in the mid-abdomen in the left medioclavicular line and paramedian in the left lower abdomen - each under view after transillumination, infiltration of local anesthetic and skin incision.
Trendelenburg positioning and left tilt of the table will displace the small intestine into the left upper quadrant. -
Dissecting the ileocolic vessels
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Dividing the ileocolic artery and vein